Provider Type Icon

HARRIS TEETER LLC NPI 1396247797


NPI Information

NPI: 1396247797
Provider Name: HARRIS TEETER LLC

Doing Business As: HARRIS TEETER PHARMACY #270

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 21D2155481

Address:
10125 WARD RD
DUNKIRK, MD
ZIP 20754
Phone: (513) 762-1019
Get Directions

HARRIS TEETER LLC is a community/retail pharmacy pharmacy in Dunkirk, MD. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HARRIS TEETER LLC NPI is 1396247797. The provider is registered as an organization entity type.
The provider Is Doing Business As Harris Teeter Pharmacy #270.

The provider's business location address is:

10125 WARD RD
DUNKIRK, MD
ZIP 20754-717
Phone: (513) 762-1019

The provider's authorized official is Jessie Warman .
The authorized official title is Manager Rx Licensing and has the following contact phone number (513) 762-1090.

The CLIA number assigned to this NPI record is 21D2155481 - other - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/2/2018 and was last updated on 3/13/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1456172400MEDICAIDMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.